Retrospective Evaluation of Infections After Delivery

Cases of infection recorded as a result of these parts will be reviewed. Laboratory tests and clinical data of these will be reviewed. Instrumental, ultrasound and CT images taken in the postpartum for diagnostic confirmation and subsequent follow-up will also be reviewed.

For each patient, information will be collected on:

• Age, weight, height
• Previous pregnancies and their outcome
• Pregnancy that arose spontaneously or through Medically Assisted Procreation techniques
• Conditions concomitant or complicating pregnancy
• Pregnancy outcome (spontaneous delivery or cesarean section)
• Laboratory tests
• Clinical data collected during hospitalization (vital parameters, symptoms, any medications administered)
• Radiologic (CT) or ultrasound (transabdominal and/or transvaginal) investigations performed during the hospital stay, in continuation-iter or in a subsequent hospitalization: name and model (and probe, for ultrasound examinations) of the equipment used will be specified for each examination performed.

Inclusion criteria

• Women aged 18 years or older
• Diagnosis of postpartum infection (within 30 days after delivery).

Clinical diagnosis is established by the following criteria (two or more of the following):

• Temperature >38°C or <36°C
• HR >100 bpm
• FR >20 respiratory acts/min or PaCO2 <32mmHg
• GB >14 x 109/dL or <4 x 109/dL
• EGA: lactates >2mmol/L (or 18 mg/dL)
• PCR >2DS from normal value
• Procalcitonin >2DS from normal value or positive laboratory culture result for the presence of bacteria (urinoculture, peritoneal fluid culture, abscess...).
• obtaining informed consent
• Women who have had at least one ultrasound (transabdominal and/or transvaginal) and one CT scan for suspected postpartum infection

Exclusion criteria

• Women with localized or systemic infection following infection unrelated to delivery or incision site (in case of cesarean section), such as pneumonia, mastitis, influenza, COVID-19.